REGISTER YOUR PRODUCT!

The benefits of registering:

1.Safeguard your investment.

2.Ensure long term maintenance and servicing of your purchase.

3.Receive updates with product information, maintenance tips, and industry news.

4.Invacare can contact you or your provider, if servicing is needed on your product.

5.It will enable Invacare to improve product designs based on your input and needs.

Register ONLINE at www.invacare.com

- or -

Complete form and mail.

Any registration information you submit will be used by Invacare Corporation

only, and protected as required by applicable laws and regulations.

PRODUCT REGISTRATION FORM

NAME _____________________________________________________

ADDRESS __________________________________________________

CITY _______________________ STATE/PROVINCE _____________

ZIP/POSTAL CODE ________________

EMAIL ___________________________ PHONE NO. ____________

INVACARE MODEL NO. _____________________________________

SERIAL NO. ______________________

PURCHASED FROM _______________

DATE OF PURCHASE: _____________

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Invacare IRC5LXO2, IRC10LXO2 manual Product Registration Form